Emerging mHealth and eHealth Interventions for Serious Mental Illness: A Review of the Literature
Published Date:May 28 2015
Source:J Ment Health. 24(5):321-332.
Pubmed Central ID:PMC4924808
Funding:R01 MH104555/MH/NIMH NIH HHS/United States
R01 MH104555/MH/NIMH NIH HHS/United States
U48DP005018/DP/NCCDPHP CDC HHS/United States
Serious mental illness is one of the leading causes of disability worldwide. Emerging mobile health (mHealth) and eHealth interventions may afford opportunities for reaching this at-risk group.
To review the evidence on using emerging mHealth and eHealth technologies among people with serious mental illness.
We searched MEDLINE, PsychINFO, CINAHL, Scopus, Cochrane Central, and Web of Science through July 2014. Only studies reporting outcomes for mHealth or eHealth interventions, defined as remotely delivered using mobile, online, or other devices, targeting people with schizophrenia, schizoaffective disorder, or bipolar disorder, were included.
Forty-six studies spanning 12 countries were included. Interventions were grouped into four categories: 1) illness self-management and relapse prevention; 2) promoting adherence to medications and/or treatment; 3) psychoeducation, supporting recovery, and promoting health and wellness; and 4) symptom monitoring. The interventions were consistently found to be highly feasible and acceptable, though clinical outcomes were variable but offered insight regarding potential effectiveness.
Our findings confirm the feasibility and acceptability of emerging mHealth and eHealth interventions among people with serious mental illness; however, it is not possible to draw conclusions regarding effectiveness. Further rigorous investigation is warranted to establish effectiveness and cost benefit in this population.
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